doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Posted By: just me on 2006-02-14
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Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM
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pack year history of smoking
Subject: pack year history of smoking
Can a 65-year-old have a 75 pack year history of smoking? thought pack years meant how many years they have smoked a pack of cigarettes??
"x" pack year smoking history
Subject: "x" pack year smoking history
How would the above be typed, esp. when it has the number of years included, such as "40 pack year..." ?? Thanks.
Would not start the sentence with a number. Would type it as "A 20 pack-year smoking history."
Subject: Would not start the sentence with a number. Would type it as "A 20 pack-year smoking history."
I would type 5-pack/year smoking history..slash stands for 'per'..nm
Subject: I would type 5-pack/year smoking history..slash stands for 'per'..nm
nm
patient is a 15-year-old girl with history of significant
Subject: patient is a 15-year-old girl with history of significant
s/l Norwood degenerative type disorder. ???
Patient presents with a several year history of pain and this is s/l dedscious referable to the left
Subject: Patient presents with a several year history of pain and this is s/l dedscious referable to the left
Agree, it is 25-pack-year history.
Subject: Agree, it is 25-pack-year history.
x
"In the hospital, patient had _______ privileges that she used to continue smoking."
Subject: "In the hospital, patient had _______ privileges that she used to continue smoking."
S/l "papule" privileges??? Which is obviously not right, but those are the sounds, anyway...
The patient has MS, dictates she cannot s/l antigravitate the leg.
Subject: The patient has MS, dictates she cannot s/l antigravitate the leg.
Have not heard the term antigraviate before, and cannot find it anywhere. That is all the context I have
Usually it is "the patient was sterilely prepped...
Subject: Usually it is "the patient was sterilely prepped...
Doc says "the patient had a laparoscopic s/l Ni-Fun for GERD. Is this
Subject: Doc says "the patient had a laparoscopic s/l Ni-Fun for GERD. Is this
a shortening of Nissen fundoplication?
Patient has sebaceous cyst, doc dictates s/l hidranidus.
Subject: Patient has sebaceous cyst, doc dictates s/l hidranidus.
Thanks
Third time now.. "The patient took his Advair this morning and Butavent at 6 a.m. and 10 a.m."
Subject: Third time now.. "The patient took his Advair this morning and Butavent at 6 a.m. and 10 a.m." :(
Also dictates the patient had scoliosis diagnosed at 10 years of age, no treatment (is now 60)
Subject: Also dictates the patient had scoliosis diagnosed at 10 years of age, no treatment (is now 60)
A 2-3/12-year-old patient. Is that the correct way to
Subject: A 2-3/12-year-old patient. Is that the correct way to
x
Definitely not CBC. Sounds more like UPT but patient is a 60-year-old.
Subject: Definitely not CBC. Sounds more like UPT but patient is a 60-year-old.
then why is it correct in your example of the patient, a 35-year-old?...sm
Subject: then why is it correct in your example of the patient, a 35-year-old?...sm
This is confusing so please do not think I am trying to pick a fight. By your own examples, these would be hyphenated. Why would the OP example not be hyphenated?
The doc dictates under ROS, GU: The patient denies issues with polyuria POLYPHASIA, or polydipsia..
Subject: The doc dictates under ROS, GU: The patient denies issues with polyuria POLYPHASIA, or polydipsia..
is this correct? POLYPHASIA???? Isn't POLYPHAGIA having to do with eating/swallowing? I can't find anything in google relating to urination or GU system.....
 Thanks in advance!!
Dictates, we are working on (s/l) "preos" forms since the patient cannot afford Cymbalta. nm
Subject: Dictates, we are working on (s/l) "preos" forms since the patient cannot afford Cymbalta. nm
I wish, it is a 52-year-old patient and that is all he mentions she had uterine prolapse too
Subject: I wish, it is a 52-year-old patient and that is all he mentions she had uterine prolapse too
Patient is 12-year-old girl. Diagnosis mild s/l exosobesity.
Subject: Patient is 12-year-old girl. Diagnosis mild s/l exosobesity.
patient history
Subject: patient history
Patient presents with history of ***Lemure*** disease? s/l Lemirro
Patient with history
of femoropopliteal bypass graft. Pulses palpable at s/l PTTP???? I am brain dead here. TIA
Patient has history of anemia..sm
secondary to s/l "naneocrosis". Any suggestions?
Patient with history of cocaine use -
Subject: Patient with history of cocaine use -
A "bowl" a day?? TIA!
Elderly patient has history of
Subject: Elderly patient has history of
recurrent falls with ***icular ***ium syndrome. Can't make out the mumble. Thanks for any help!
patient has a history of s/l 'skiffy'
Subject: patient has a history of s/l 'skiffy'
patient has a history of being positive
Subject: patient has a history of being positive
for s/l ossa drugs. Any help with this would be appreciated!
TIA! 
Pregnant patient with a history of herpes, which was ...
Subject: Pregnant patient with a history of herpes, which was ...
~ s/l quiasen ~ throughout the pregnancy. I think I know what it means, but I have no idea how to spell it.
Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm
9 times out of 10 it is arthroscopy and meniscectomy.
Patient with history of s/l corporal monale. Thanks
Subject: Patient with history of s/l corporal monale. Thanks
Patient condition/medical history??? NM
Subject: Patient condition/medical history??? NM
25-pack/year would mean 25 packs per year, but
Subject: 25-pack/year would mean 25 packs per year, but
25-pack-year is the amount equal to packs smoked per day x number of years smoking, as per BOS and Vera Pyle.
Apparently part of patient's history, but not clear...
Subject: Apparently part of patient's history, but not clear...
MRI is reviewed confirming the presence of a full-thickness supraspinatus tendon tear with early glenohumeral arthritis. The patient apparently had a long head biceps tendon operation as well, perhaps s/l an or in acoa.
The patient has another orthopaedic surgeon in New York that has done a shoulder procedure (he says this in the HPI) and I can't tell if he's saying "an" or "in" acoa.
Thanks MT50.
med. help...dr lists like 18 medications for patient with no history given sm for 2 drugs pls.
Subject: med. help...dr lists like 18 medications for patient with no history given sm for 2 drugs pls.
A-mute-er-rone 200 mg daily
Carbetolol 27.5 mg twice a day.
The patient is a new patient being evaluated for pancytopenia.
s/l patient denies history of *metachezia* or melena??? nm
Subject: s/l patient denies history of *metachezia* or melena??? nm
nm
No, this patient has a huge past history that varies
Subject: No, this patient has a huge past history that varies
She was smoking at least a pack of cigarettes a day, drinking a lot of coffee and s/l guinath pills
Subject: She was smoking at least a pack of cigarettes a day, drinking a lot of coffee and s/l guinath pills
Can you give us some info about the patient, i.e. past history, current complaint, etc?
Subject: Can you give us some info about the patient, i.e. past history, current complaint, etc?
patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm
Subject: patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm
of bleeding??? Thanks.
s/l Tiazine 2 mg at night. Patient with nack and back pain history
Subject: s/l Tiazine 2 mg at night. Patient with nack and back pain history
thank you
Patient has a history of s/l hyperpotassiumemia. I'm not finding any good hits on google and sm
Subject: Patient has a history of s/l hyperpotassiumemia. I'm not finding any good hits on google and sm
doc is known for making up his own words.
is there such word mobiling? "the patient is mobiling well despite encouragement"
Subject: is there such word mobiling? "the patient is mobiling well despite encouragement"
Duralith is used to treat the manic stage of bipolar disorder (does the patient have a psych history
Subject: Duralith is used to treat the manic stage of bipolar disorder (does the patient have a psych history?)
20-pack-year vs. 20 pack-year
Subject: 20-pack-year vs. 20 pack-year
Which is correct? 20-pack-year history of smoking or 20 pack-year history of smoking. I've seen it both ways. TIA.
20-pack-year
Subject: 20-pack-year
x
25-pack-year
Subject: 25-pack-year
25-pack-year
Subject: 25-pack-year
nm
type "the year" if it is a verbatim account.
Subject: type "the year" if it is a verbatim account.
Except that's not what a pack-year means. sm
Subject: Except that's not what a pack-year means. sm
A "5-pack-year" history does not mean "5 packs per year" ... good grief, I'd consider someone who smoked 5 packs per year essentially a nonsmoker. :-)
A 5-pack-year history means an average of a pack a day over a 5-year period. That could mean someone smoked 5 packs per day for 1 year, or 1 pack per day for 5 years, or half a pack a day for 10 years, or any other combination that fits.
I write it like 24-pack/year
Subject: I write it like 24-pack/year
nm
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